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NASAN Reveala3 XT, Instructions For Use Manual

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Table of contents 

 

1.

 

Introduction. 

 

 

2.

 

Safety and warning information 
 

3.

 

Cleaning Instruction 

 

4.

 

System requirements. 

 

 

 

5.

 

Configuring the software system. 

 

a.

 

At the time of installation. 

 
b.

 

Through configure menu. 

 

 

 

6.

 

Downloading the test. 

 

 

 

 

7.

 

Reviewing the test. 

 

8.

 

Menu Option. 

 

9.

 

Unit initialization/Installation. 

 

10.

 

Appendix A - 

 

Patient preparation. 

 

Electrodes placement.   
 

11.

 

Appendix B -   

 

Defragmentation. 

 

Software Installation. 

 

Driver Installation  

 

Troubleshooting. 

 

12.

 

Appendix C – 

 

Consumable List 

 

Installation Report 

 

Summary of Contents for Reveala3 XT

Page 1: ... Rev 37 Date 2 May 2022 Reveala3 XT 3 channel digital Holter Software Version 6 5 User Manual Nasan Medical Electronics Pvt Ltd All Rights Reserved Hope you don t require service at all But incase you require Please contact 09371039255 For any working days 9 30a m to 6 p m ...

Page 2: ...r expectation by offering you products that have optimum features and reliable high quality performance backed by prompt technical support It is our pleasure to give you this user manual Please study the same thoroughly before using the system Contact details Nasan Medical Electronics Pvt Ltd C wing Shubham heights Off Mumbai Bangalore highway Service road Warje Pune 411058 Website www nasanmedica...

Page 3: ...ystem a At the time of installation b Through configure menu 6 Downloading the test 7 Reviewing the test 8 Menu Option 9 Unit initialization Installation 10 Appendix A Patient preparation Electrodes placement 11 Appendix B Defragmentation Software Installation Driver Installation Troubleshooting 12 Appendix C Consumable List Installation Report ...

Page 4: ...fication analysis review and reports of electro cardiogram arrhythmic disorders The system consists of the following modules Reveala recorder PC based software for download of 24 hour ECG data of 3 channel classification analysis review and report generation System features The system consists of these vital features Store three channels ECG data of 24 hours View disclosures of 1 10 20 30 and 60 m...

Page 5: ...n HR longest pause longest V Tach longest SV Tach longest ST episode maximum delta ST as standard event pages Edit Arrhythmia summary Facility to print following reports Summary Arrhythmia summary Template summary ST analysis Arrhythmia disclosure One minute disclosure of any channel Full disclosure of 10 20 30 and 60 min of any channel R R variability Operator Selected Strip Report View medians i...

Page 6: ...the application of electrodes 5 Ask patient if he is allergic to any tape or other adhesives while application of electrodes 6 The patient should be instructed not to wear the recorder in the shower or bath 7 The patient should be instructed to avoid proximity to heavy electrical equipment or other sources of electromagnetic interference such as electric blankets heating pads 8 Make sure that you ...

Page 7: ...lip 4 Remove any adhesives from the patient lead wires with an adhesive tape remover solution or swab with mild detergent Caution Do not use alcohol or acetone to clean the lead wires as this can cause the wires to stiffen and the insulating plastic to crack Do not immerse the recorder in water while bathing Use of non recommended solution for cleaning of the device may wipe off the information ...

Page 8: ......

Page 9: ...dows 10 professional 64bit 2 Motherboard Intel corei3 3 RAM 4 GB 4 USB port working USB port for holter unit connection 5 Monitor Color monitor 6 Hard disk minimum 500 GB 7 Display Settings Resolution 800 X600 8 Keyboard with 101 keys 9 Mouse 10 1 KVA stabilizer 11 Independent earthing connection ...

Page 10: ... the requirement It is necessary to configure the system before conducting a test Configure your PC as per instruction given in the dialog box for the best results Fig 4 1 Installation dialog box For setting monitor resolution to 800 x 600 use the procedure given below 1 Go to the Windows Start menu 2 Then select setting folder 3 Select Display option 4 Select the required Display resolution from ...

Page 11: ...uired setting are set To configure the system press Configure System button 1 Configure menu is displayed as shown in the fig 4 2 Note Refer the description of the same for functionality 5 b Through configure menu For configuring the Reveala software go to Configure menu or press Configure System button on Welcome to Reveala system dialog box Property Page named Configure will be displayed with th...

Page 12: ...your hospital This list gets popped up in the Patient details entry dialog box from where you can select the concerned doctor for the patient For entering the details follow the following steps 1 Select the Hospital Configuration tab from the Configure Menu 2 A window will appear on the screen as shown in fig 4 2 3 Enter hospital name in the upper edit box 4 Enter address of the hospital ...

Page 13: ... contents in the list 9 Press Cancel the information will not get saved 5 b 2 Configure printing details To have the printouts of the required report with the pre configured font titles etc click on Printing details tab of Configure menu You can set following details as shown in Fig 4 3 Report title alignment either center right or left of the page Fonts for report title hospital name Patient deta...

Page 14: ...14 106 Fig 4 3 Printing details 5 b 3 SVE maturity To configure Prematurity of SVE click on Prematurity of SVE tab of Configure menu The following dialog box as in Fig 4 4 will be shown ...

Page 15: ...rity of SVE Enter the required percentage and press OK or Apply button to save the changes and Cancel to exit without saving 5 b 4 Edit labels list To add new labels for arrhythmias click on Edit Labels tab of Configure menu ...

Page 16: ...fy click on the respective buttons Some standard labels are present in the Label list which cannot be modified The standard labels are Pause Trigeminy VE Pair ROnT SVEPair Bradycardia Bigeminy Isolated VE VTach SVE SVETach and Tachycardia Press OK or Apply button to save the changes and Cancel to exit without saving ...

Page 17: ...type the comment title in Comments title edit box comments in the Comments edit box Click Add to add the comment To delete or modify the comments select the required comment from the Comments title combo box and click respective button on the Standard comments dialog box Press OK or Apply button to save the changes and Cancel to exit without saving Fig 4 6 Standard comments list ...

Page 18: ...rom the Configure Menu 2 A window will appear on the screen as shown in fig 4 7 3 Enter the reference doctor s name and designation you want to add to your list and click the Add button 4 To delete any doctor from the list select the corresponding Sr No and click the Delete button The selected doctor will be deleted 5 To change or modify any doctor s details double click on Sr No click the Modify ...

Page 19: ...19 106 Fig 4 7 Referring Doctor List 5 b 7 Pause Time To configure pause Time click on Pause Time tab of Configure menu The following dialog box as in Fig 4 8 will be shown ...

Page 20: ...the list shows time settings as 1 sec 2 sec 2 5 sec 3 sec 4 sec 5 sec Default setting is 2 0 sec Select the required Pause time from the available list and click OK or Apply button to save the time Click cancel to exit without saving ...

Page 21: ...f Configure menu The following dialog box as in Fig 4 9 will be shown Fig 4 9 Download Speed Default download speed is High Speed If download error occurs then select Low speed from the configure menu and click OK or Apply button to save the speed Click cancel to exit without saving ...

Page 22: ...een or go to File menu and press Download test option The patient details dialog box will appear on the screen as shown in the fig 5 1 below In this dialog box patient name and age of the patient are compulsory fields So it is indicated by sign Fig 5 1 Patient details Enter the patient details ...

Page 23: ...ement and press OK button The doctor list on the patient details dialog box will be updated accordingly 3 To edit the referring doctor s list click push button near Referred By edit box Doctor Details dialog box will be displayed with details as shown in fig 4 7 Edit the doctor list as per requirement and press OK button The Referred By list on the patient details dialog box will be updated accord...

Page 24: ...106 After about 16 minutes data download will get complete following message box appears on the screen Fig 5 2 Press OK button to view the downloaded data 6 b Full disclosure Fig 5 3 Full disclosure screen ...

Page 25: ... ECG data Facility is provided to view the data of 10 20 30 and 60 min by selecting the minutes from the drop down 6 b 2 Select channel To view the ECG on any of the channels select the channel from combo box The ECG data of the selected channel will appear on the screen 6 b 3 Start beat for classification To classify the data press the Start beat for classification button 6 b 4 Mark page for prin...

Page 26: ... of pages in the entire test is displayed on the right hand corner of the menu bar as shown in the fig 5 4 6 b 7 Exit To exit from the test press the Exit button on the menu bar 6 b 8 Zoom As the mouse is moved on the full disclosure screen a Zoom In cursor is displayed on the ECG data To zoom and view One Minute Disclosure of selected minute click on required row One minute disclosure of that ECG...

Page 27: ...r printing Click this check box to mark the current page for printing The marked page will be available for printing 6 c 3 Comments This button is enabled when the page is marked for printing To enter the comments for the selected page press the Comments button on the menu bar The comments dialog box will appear on the screen as shown below in the Fig 5 6 The entered comments will be printed on th...

Page 28: ...d as shown in the fig 5 7 Fig 5 7 One minute disclosure with grid 6 c 5 Select beat for classification To classify the data press the Select beat for classification button the screen as shown in Fig 4 8 will be displayed 6 c 6 Mark noise If some noise is observed on the recorded data then one can mark it as noise before ...

Page 29: ...om of this screen as shown in fig 5 5 Use the scrollbar to navigate in the backward and forward direction for viewing the ECG data You can also use the left and right arrows on the keyboard for this functionality 6 c 8 Back To go back to the Full Disclosure screen Press the Back button 6 d Beat selection panel Fig 5 8 Beat selection panel The data of 8 sec from the start of the test is seen on thi...

Page 30: ...orm of the selected channel is displayed with polarity reversed as shown in fig 5 9 Fig 5 9 Polarity of ch1 reversed 6 d 3 To set the gain To set the gain of the ECG between 0 5 1 0 2 0 3 0 4 0 and 5 0 press Gain button on the menu bar 6 d 4 Select beat for classification manually For manual selection of the reference beat press Select beat for classification manually button A Vertical line cursor...

Page 31: ...Yes button and if the beat selected for the analysis is not OK then Press No button and mark other beat for analysis To cancel the process and continue with automatically selected beat press Cancel button 6 d 5 Browse page A scroll bar control is provided at the bottom of this screen as shown in fig 5 8 Use the scrollbar to navigate in the backward and forward direction for viewing the ECG data Yo...

Page 32: ...n screen The screen shows the details mentioned below Running heart rate trend as the beats are being classified The templates identified from the classification of the ECG till that instance Total 15 templates are seen on one screen After viewing the particular template its color changes to magenta color If the template number exceeds 15 new page is created and View next template page button and ...

Page 33: ... 6 e 3 Analyze data and view trends After the classification is over Analyze and view trends button gets enabled Click this button to analyse arrhythmias and to view trends 6 e 4 To edit template type The templates can be edited by right clicking on the respective template A menu is displayed as shown in the fig 5 13a Fig 5 13a Menu on right click Fig 5 13b You can select any of the beat type from...

Page 34: ... To view beats in template A hand reference cursor appears on the template Left click the mouse on the template to view the beats in that particular template The screen showing the ECG beats in that template is seen as shown in the following Fig 5 14 6 f Template beats editor 6 f 1 Browse page A scroll bar control is provided at the bottom of this screen as shown in fig 5 14 Use the scrollbar to n...

Page 35: ...the Ctrl keys and then click on the required beats The selected beats will be displayed with different background color After the selection is over right click and then select the required label from the menu displayed All the beats will be renamed to the new label type 6 f 4 Browse pages A scroll bar control is provided at the bottom of this screen as shown in fig 5 15 Use the scrollbar to naviga...

Page 36: ...36 106 6 f 5 Back To go back to the classification screen review screen click on Back button or press the Esc key on the keyboard ...

Page 37: ...dialog box 7 a 1 To sort the patient list according to a particular field click on the respective tab e g To sort the list according to age click on Age 7 a 2 To delete a record click on the required record and press Delete button The record will be deleted with confirmation 7 a 3 To select a patient for review click on the required record To discontinue with the selection press Cancel To continue...

Page 38: ...Tach Longest ST Episode Maximum ve Delta ST Maximum ve Delta ST There are total 12 trends that can be seen 4 each on one page These trends are as follows Heart rate trend Ventricular ectopic trend VE V tech trend Supra Ventricular ectopic trends SVE SVE tech trends ST levels of all 3 channels Bigeminy trend Trigeminy trend Bradycardia trend Trachycardia trend ...

Page 39: ... previous next trend page To go to next previous trend page use these buttons or press the left right arrow keys on the keyboard 7 b 2 View ECG To view the ECG of the particular minute click View ECG button After the button is pressed a cursor appears at the tip of the mouse Place the cursor on the minute to be viewed and click the ...

Page 40: ...st If the analysis done is not satisfactory then you can analyze the test again For that purpose press the Reanalyze test button Full disclosure screen will be displayed as shown in Fig 6 3 You can once again select the channel for classification and reanalyze the test 6 b 6 Mark noise One can mark the noisy data in review too For this on the trends screen click on the Mark noise button A vertical...

Page 41: ... To view or edit the fiducial points of the Max ve delta ST median click on the View and edit Max ve delta ST median button The Zoom median screen will be displayed as shown below The fiducial points or the ST level of any required channel at the time instant max ve delta ST timing can be edited by selecting the channel 6 b 9 View and edit Max ve delta ST median To view or edit the fiducial points...

Page 42: ...timing can be edited by selecting the channel 6 b 10 Standard Events To view standard events page directly this combo box is provided It contains following standard events Max HR Min HR Longest ST Longest Pause Longest V Tach Longest SV Tach Max ve delta ST CH 1 Max ve delta ST CH 2 Max ve delta ST Ch 3 Max ve delta ST CH 1 Max ve delta ST CH 2 Max ve delta ST Ch 3 ...

Page 43: ...43 106 Select the required event to view from the combo box and the corresponding event page will be displayed as shown in fig 6 4 Fig 6 4 One minute disclosure for Standard Event Max HR ...

Page 44: ...d time on the trend and click Following screen is displayed with toolbar as shown in fig 6 5 Fig 6 5 One minute Disclosure Note HR displayed on the one min page is HR stored at the end of one min page i e at 60 sec from page start time By pressing beat count button on one minute page software calculate HR based on actual bit in that minute ...

Page 45: ... min 10 min 20 min 30 min and 60 min 7 c 2 Select channel To view the ECG on any of the channels select the channel from combo box The ECG data of the selected channel will appear on the screen 7 c 3 Mark page for printing Click this check box to mark the current page for printing The marked page will be available for printing 7 c 4 Comments This button is enabled when the page is marked for print...

Page 46: ...ll be displayed on the screen Place the cursor on successive R wave and click again The HR for that page will be recalculated according to the marked R R interval 7 c 7 Standard Events This control has the same functionality as described before 7 c 8 HR edit box If the HR is not correctly calculated count the QRS complex on one minute page and enter the value in above box and press tab key on keyb...

Page 47: ...tton on the tool bar will be disabled Place mouse cursor at the desired position over the waveform press mouse left button to mark starting of the ECG strip drag the mouse keeping left button pressed A rectangle will be drawn from the starting point to present mouse cursor position Now release the left button at the point where end of the ECG strip is to be marked Duration of the strip being marke...

Page 48: ...1 minute range then Attention dialog box will appear on the screen as shown in Fig 6 5 b If Yes button is pressed then the rectangle is retained and will be drawn in Blue color and then the Enter Label editor box is displayed with OK button as shown below ...

Page 49: ...rked ECG duration is more than one minute then following message box will appear on the screen All the buttons on tool bar are enabled when each mark strip cycle is over Maximum 5 strips can be marked on a page If selected page has already 5 strips marked on it then following message box will appear on the screen While scrolling through the disclosure the selected strips will be displayed every ti...

Page 50: ... further zoom in the time group by pressing the Zoom In button After clicking this button a hand reference cursor is available Click the time group you want to zoom in The time group which is been clicked is further divided into six equal parts and corresponding medians are calculated The corresponding 8 seconds ECG data is also seen in front of the median 6 e 2 Zoom out Use Zoom Out button to mov...

Page 51: ...s follow these steps given below a Click on the button b A hand cursor will be seen c Click on the median whose fiducial points are to be edited An enlarged form of the selected median is displayed in a dialog box as shown in the fig 5 7 below Fig 6 7 Zoom median d Click on the left right arrows below the required fiducial point to move that point to the required position The ST Level displayed on...

Page 52: ...closure screen This screen contains the following 6 f 1 Above screen contains 8 sec ECG data of all channels with the respective arrhythmia along with the heart rate value 6 f 2 Arrhythmia buttons to view all the arrhythmias in the test If a particular arrhythmia is not detected then that button will be disabled ...

Page 53: ...e scrollbar to navigate in the backward and forward direction for viewing all arrhythmias of the selected type in the entire test You can also use the left and right arrows on the keyboard for this functionality 6 f 6 Mark page for printing This button is use to mark the page for printing 6 f 7 Label to print To change the label of the arrhythmia to the user configured arrhythmia type this combo b...

Page 54: ... standard arrhythmia types along with normal and noise will be displayed on the screen as shown in fig 6 10 Fig 6 10 Editing arrhythmia type Select the type to be changed to The current displayed arrhythmia type will be renamed to the new type Multiple arrhythmias in a group can be selected for editing by keeping the Shift or Ctrl key pressed while selecting the arrhythmia with mouse click The sel...

Page 55: ...he arrhythmias of current type are selected for editing With this option you can edit the arrhythmia type of all the arrhythmias in a group at a time 6 f 9 Back To go back to the trends screen ESC key on the keyboard has the same functionality ...

Page 56: ...7 1 Edit menu The patient details entry screen as shown in the Fig 7 1 is displayed You can edit patient information and save the changes by pressing OK button 7 a 2 Summary report For editing the summary reports select Summary report option from Edit menu The summary report will be displayed on the screen as show in the Fig 7 2 ...

Page 57: ...57 106 Fig 7 2 Summary report Part 1 ...

Page 58: ...d ve delta ST of required channel select the channel from combo box The selected channel s max ve and ve delta ST details are displayed in comment edit box Press ok to save changes If entered comment length was more than assigned length in summary report then following message box will be displayed 7 a 3 Marked pages list To view the marked page list select Marked pages list from Edit menu The dia...

Page 59: ...ed report are displayed If the user wants to delete any of the marked pages select the time of the page you want to delete and press the Delete button 7 a 4 Marked noisy data To delete the marked noisy data select Marked noisy data from Edit menu The dialog box as shown in the Fig 7 5 is displayed ...

Page 60: ...m the list and press the Delete button The deleted noisy period will be unmarked and all the calculations will be performed again 7 bPrinting the reports To print the reports select Print option from File menu A dialog box as shown in the 7 6 will be displayed The Heart rate variability report is applicable for the Reveala3 XT model only ...

Page 61: ...is option is checked all the reports are selected for printing If pages are not marked for any of the disclosures report then those reports are not selected for printing 7 b 2 Edit The edit option is for editing the values in arrhythmia summary report When clicked on this option a dialog box as shown in fig 7 7 is displayed ...

Page 62: ...ill be printed in the report This button is enabled only if the report is selected for printing 7 b 3 Edit marked pages This has the functionality same as that explained in section 7 a 3 7 c Copy file for backup To copy the data of patient being reviewed for backup click on the Save test for backup option from File menu This option is enabled only if a test is opened for review Refer fig 7 8 ...

Page 63: ... shown in fig 7 9 Fig 7 9 Select drive to save test Select the location of your choice and press Save button The current test which is being reviewed will be saved on the selected location 7 d Review saved test To review the test that is stored in some other location for backup select the Review saved test option from File menu ...

Page 64: ...en the file for review is displayed as shown in fig 7 11 Fig 7 11 Select test to Review Select the file from the required location and press Open button The file will be available for review 7 e View HRV Report To view the HRV report selects the HRV report option from the View menu ...

Page 65: ...RR interval distribution table will be displayed as shown in the fig 7 13 Fig 7 13 RR interval distribution table Press the view Next Trend Page button then the RR interval distribution histogram will be displayed as shown in the fig 7 14 ...

Page 66: ...66 106 Fig 7 14 RR interval distribution histogram Press the view Next Trend Page button then the Heart Rate Variability Indices table will be displayed as shown in the fig 7 15 ...

Page 67: ...67 106 Fig 7 15 Heart Rate Variability Indices Table Press the view Next Trend Page button then the Poincare Graph and the Normal RR histogram will be displayed as shown in the fig 7 16 ...

Page 68: ...68 106 Fig 7 16 Poincare Graph and Normal RR histogram ...

Page 69: ...orget to download the data before connecting the holter unit to new patient NOTE Check Slide switch position while recording or downloading the data for recording it should be at REC side for downloading it should be at USB side OFF position when not in Use NOTE Use new battery Duracell MN1500 or equivalent Alkaline batteries of AA size for every new test 1 Initially make sure that Reveala 3 XT un...

Page 70: ...ing will start This will be indicated by blinking of Recording status Green LED and Memory Full Red LED will become off 8 After 24 hrs Of recording Buzzer will give two beeps Recording status Green LED will stop blinking Memory Full Red LED will glow continuously indicating recording is over 9 Keep the slide switch at OFF position when data recording is complete 10 When any one of the lead from pa...

Page 71: ...splay Fig 8 1 Click on Ok button Default download speed will be High Speed so select Low Speed from the Configure menu and click Apply and OK button Again select download option 9 Enter patient details and press OK 10 After about 2 sec Reveala 3 unit found message will be displayed Press OK 11 Recording status Green LED will start blinking indicating data is getting download 12 After about 5 to 7 ...

Page 72: ...indicated battery should be replaced Note Use new battery Duracell MN1500 or equivalent Alkaline batteries of AA size for every new test 2 Leads Off RED When this is indicated meaning one or more than one leads are displaced from the patient s body 3 Recoding status GREEN This LED will start blinking when recording start and when data is getting download 4 Memory Full RED This LED will glow contin...

Page 73: ...73 99 Reveala 3 with keyboard unit photo USB Data Cable Patient Cable ...

Page 74: ...tly red This removes the horny non conducting layer of the epidermis enabling a good electric contact with the body fluids Remove all the traces of jelly by wiping the abraded site with warm dry cloth and completely dry up the site with dry towel The skin must be clean dry and completely free of jelly for the electrodes to remain well in position till the end of ECG acquisition Take an electrode a...

Page 75: ...thing it from the center out Repeat this procedure for all sites NOTE We recommend the use of good quality disposable electrode With one time usage only No assurance of quality result can be given if reusable electrodes are used 9 b Electrodes placement Right left Fig 9 1 Electrodes Placement ...

Page 76: ... skin surface Place patient lead on all electrodes as per colour code Apply Medical adhesive tape dressing tape bandage tape across the electrode Form loop of patient cable and apply Medical Adhesive tape dressing tape Bandage tape to avoid stress on electrodes durin g usag e Use of vest stretchable antistatic is advisable to avoid patient leads getting detached from electrodes ...

Page 77: ...tions By Defragmentation of the hard disk all the files are arranged in sequence Thus helps in making PC faster Following steps can do this Click Start button Go to Program then Accessories Go to System Tool Select Disk Defragmentation After selecting the Defragmentation option it ask for the drive to select Select the drive as per your requirement and click the OK button of that screen As soon as...

Page 78: ...78 106 Fig 10 1 Defragmentation This will take several hours to complete as per the data stored in the Hard disk NOTE Please do not carry on any application when the Defragmentation is in process ...

Page 79: ...e in PC follow the steps mentioned below Insert the software CD into the CD drive Open the folder Reveala 3XT and double click the disk1 icon as shown below Fig 10 2 Installation setup Run Setup exe Setup icon and follow the installation steps Doubl e click on disk1 ...

Page 80: ...80 106 Click Next Click Yes Setup ...

Page 81: ...81 106 Click Next Click Next ...

Page 82: ...82 106 Click Finish A shortcut is created on the desktop Double click on the icon on the desktop to run the software of Reveala ...

Page 83: ...TOP Connect the Reveala 3XT unit to USB Port of LAPTOP or PC Power ON LED on the unit will glow Following message will be displayed at the bottom right side corner on the PC screen The following dialog box will be displayed on the screen Follow the instruction on wizard to continue the installation ...

Page 84: ...84 106 ...

Page 85: ...wse button and give the FTDI driver path from CD Utility FTDI driver for all OS OR copy FTDI driver for all OS to desktop or any drive from CD Utility FTDI driver for all OS to install it on PC OR Laptop Click NEXT button ...

Page 86: ...86 106 By examining the device manager located in control panel then select the Hardware tab and click device ...

Page 87: ...ble click on Reveala 3XT latest version software icon on the desktop The acquisition screen will be displayed Uninstalling Devices driver Devices can be removed using the Device Manager by simply right clicking on the mouse and selecting Uninstall This will delete the associated registry entries for that device only ...

Page 88: ...88 106 This stage is done twice Once for the device under Ports COM LPT and once for the device under Universal Serial Bus Controllers ...

Page 89: ...labeled as tachycardia Arrhythmia page contains 8 sec ECG data of all channels HR displayed on arrhythmia page is HR of end of page Time displayed is arrhythmia page start time Detected arrhythmia is displayed in red color and can be reviewed from one minute page Go to template page sort or check the NOISE PVC and ECG template and analyze it again then view Arrhythmia page In holter software on ar...

Page 90: ... for analysis which is having amplitude 1cm or more Check ECG amplitude of each channel by pressing select channel button Use gain button on beat selection panel page to increase the amplitude of selected channel After selecting the reference beat press Start analysis button to start the classification process By pressing beat count button on one minute page software calculate HR based on actual b...

Page 91: ...ulated from screen resolution and screen dimension and Grid on paper is calculated from printer resolution and paper dimension While printing select paper size as A4 In our holter software screen size is fixed and nowadays monitor size is changing so do not compare the No of Boxes between two R waves on paper and on screen 5 Noise detection is very poor and heart rates are given for pages with lot...

Page 92: ... the current page for printing The marked page will be available for printing Go to Configure Printing details Select grid style as per selection report will be printed We do not require color cartridge to print the grid But for color printout color cartridge is required 8 When we take a print of the one minute data on the graph paper the printout come is portrait orientation Is it possible to tak...

Page 93: ...e check the patient cable whether it is intact with the connector Make sure the leads are properly attached to the electrode patches They should not be loose Make sure the patient does not engage in any sort of strenuous activity while recording It may loosen the leads ...

Page 94: ...odes Bulb electrodes all types of cables 3 asaan Jelly Patient cable Clip on electrodes Bulb electrodes all types of cables Internal rechargeable battery 4 Reveala 3 with keyboard Aryrec 3 with keyboard Arytell 2 Dry cell electrodes Patient cable Carrying bag USB cable 5 Sanjeevani 1006 Disposable electrodes Patient cable BP cuff SpO2 probe Paddles with cables Battery Power cord EtCO2 probe Pacer ...

Page 95: ...in _ Turbine 12 Para 5 Para 1005 Para 1005e Paramou nt 1009 Disposable electrodes IBP Disposable Transducer Patient cable Spo2 probe BP cuff internal rechargeable battery EtCO2 probe IBP interfacing cable Power cord If PC and printer are supplied following items are not covered under warranty 1 Toner Cartridge of the printer 2 Printing stationery 3 TFT LCD Price of spare parts is available upon re...

Page 96: ...e product Date of installation a b 6 The product s above named has been supplied in good and proper working condition and Installed successfully The performance of the product is satisfactory Warranty For Electronic Manufacturing Defects 12 Months from Date of Installation or 13 Months from Date of Dispatch whichever is earlier For Accessories warranty will be 3 months from date of Installation or...

Page 97: ...duct Date of installation a b 6 The product s above named has been supplied in good and proper working condition and Installed successfully The performance of the product is satisfactory Warranty For Electronic Manufacturing Defects 12 Months from Date of Installation or 13 Months from Date of Dispatch whichever is earlier For Accessories warranty will be 3 months from date of Installation or 4 Mo...

Page 98: ...allation _______________________________ 4 Device Details Tick mark in the appropriate column Sr no Device attributes Poor Average Good 1 Visibility of screen 2 User friendliness 3 Audibility visibility of indicator on keyboard 4 Software Installation 5 Usability of software 6 Safe use of Medical Device 7 Overall Performance of Medical Device Comments ...

Page 99: ...99 106 Name Signature Stamp Date ...

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